Im, Michelle Jeena

Im, Michelle Jeena is an individual health care provider with primary practice located at 176 N Main St , Shavertown PA 18708-1121. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Im, Michelle Jeena can be contacted via phone (570) 675-0900.

Contact Information

Primary practice address
176 N Main St Shavertown PA 18708-1121
Phone: (570) 675-0900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OT018121 Pennsylvania

Profile Details

NPI number 1134640717
LBN Legal business name Im, Michelle Jeena
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2017
Last updated Nov 15th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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